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FIELD TACTICAL ACTIVITIES REPORT Name of PMR: District No: Bernard E.dela Virgen Jr GMA For the Period: January 2014 Date Prepared: Dec 18, 2013
This form shall be accomplished twice for each period. The first time is in proposing the tactical activities for a specific month. Cash Advance Liquidation A B C D E F G H I J
3,000.00
(3,000.00)
Date of Implementation
Product Group
Amount in PhP
Budget
Travel Request/P.R ( Request for Purchase Letter of check Credit to BPI FC 1,2, 3 Request Authority payment A/C of PMR
Plan
Actual
(Over)/Under
TOTAL (TO BE RELEASED NO LATER THAN LAST WORKING DAY OF PRIOR MONTH)
3,000.00
TOTAL (TO BE RELEASED NO LATER THAN LAST WORKING DAY OF PRIOR MONTH)
3,000.00
2ND HALF OF THE MONTH - EVERY 5TH DAY OF THE FOLLOWING MONTH
I agree to liquidate this cash advance every 20th day of the month for the first half of the month's activities and every 5th day of the following month for the 2nd half of the month's activities as specified above either with adequate receipts and cash or cheque for the balance made payable to Fresenius Kabi Philippines, Inc. I understand that my failure to liquidate the above cash advance in full within thirty(30) days will result in a payroll deduction for the balance due. By signing below, I agree to make Fresenius Kabi Philippines Inc. to make any such deductions from my pay.
ACTIVITIES FOR IMPLEMENTATION DURING THE FIRST HALF OF THE MONTH Description of Activity (see attached template) Product Group Amount in PhP
Included in
Name of PMR
Date of Implementation
Budget
FC 1,2, 3
Disposition (Amount in PhP) Request for Credit to Travel Letter of Check BPI A/C of Request Authority Payment PMR
Plan
Actual
(Over)/Under
TOTAL (TO BE RELEASED NO LATER THAN LAST WORKING DAY OF PRIOR MONTH)
TOTAL (TO BE RELEASED NO LATER THAN 15TH DAY OF THE MONTH) TOTAL DISTRICT Signature over Printed Name of Requestor Approved by:
Validated by:
DM/RSM
BUH/NSM
FINANCE
GENERAL MANAGER
FRESENIUS KABI PHILIPPINES, INC. SUPPORT TO FTAR FUND REQUEST FOR : January
CASH ADVANCE
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs MD Class FK Participant Product Group Amount Name of Activity Activity Date Sponsored Organization
LIQUIDATION
Name of Participating MDs MD Class FK Participant Product Group Amount
FOR RETURN/(REIMBURSEMENT)
Feedback Comments
Amount
Dr.Dionisio Cabawatan (Diab A1); Dr. Stefanie LimUy (Endo B1); Dr.Lemuel DELOS SANTOS; Tocjayao (Diab A1); A(4X) B(2x) Bernard E.Dela Virgen Jr PKDF;NEPHROC Dr.Brandon Navidad ARE (Nephro A1); Dr.Mildred Tayag (Nephro A1); Dr.Marie Jewell Santos(Nephro A1)
Renal
3,000.00
Dr. Stefanie Lim Uy DELOS (Endo SANTOS;NEPHRO B1);Dr.Brandon CARE Navidad (Nephro A1)
Renal
1,065.00
DELOS SANTOS
Dr.Dionisio Cabawatan (Diab A1);Dr.Lemuel Tocjayao (Diab A1) Dr.Mildred Tayag (Nephro A1); Dr.Marie Jewell Santos(Nephro A1)
A(4X)
Renal 1,050.00
A(4X)
Renal
890.00
3,000.00
3,005.00
FOR TRAVEL REQUEST, LETTER OF AUTHORITY (LOA) & FOR CHECK PAYMENT
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs FK Participant Product Group Amount
TOTAL - TR/LOA/RCP
0.00
3,000.00
PREPARED BY:
APPROVED BY:
PMR
DM
Activity
DM/RSM
NSM
FINANCE
Last working day of the previous month except for 1st half of January wherein crediting will be done on the 1st 22nd of the month prior working day the month to implementation Every 15th of the month or prior working day in case 15th falls on a weekend or holiday
4th of the following month for outside Metro Manila areas 7th of the following month for outside Metro Manila areas
7th of the following month for outside Metro Manila areas 10th of the following month for outside Metro Manila areas Every Wednesday
RFCP - 3rd Party Vendors CA and Employee Reimbursements Employee Liquidation (except FTAR and MER) LOA to submit requests to Angel 5 working days prior to activity date
9 working days from receipt of duly approved request & supporting documents 7 working days from receipt of duly approved request & supporting documents
Every Wednesday Every Monday & Wednesday 2 working days before activity date
R.C.P. No.
PAYEE'S NAME:
DATE: AMOUNT:
This is to certify that the above request is true and correct. Any charges related to the cancellation of check without valid reason shall be for the account of the requesting party
Requested by:
Approved by:
REQUIRED ATTACHMENTS ACTIVITY POA ARBE LOR RL AL QUOT INV DR TRIP T PROG CONTR LOA TO AS/P BOE/A/MM OR/AR * Finance's cut-off of receiving RCP/RCA/REIM is every 5pm of Wednesday REMARKS
MARKETING/SELLING * Sponsorships * Payments to: - promats suppliers - booth rental - van rental - hotels/resto - caterers - travel agencies - other service providers * Financial Support * Honorarium / PMS ADMIN * Other providers of Goods * Other rentals * Other providers of Services LEGENDS AND NOTES: POA ARBE LOR RL AL QUOT INV DR TRIP T PROG CONTR LOA TO Plan of Activities Approved RBE Letter of Request Recommendation Letter Acceptance Letter Quotations Sales Invoice or Statement of Account Delivery Receipt Trip Ticket Symposium or Convention Program or Invitation Contract signed by contracting parties Letter of Authority Travel Order AS EA BOE/A/MM OR AR Attendance Sheet Expected Attendees
* cheques for approved RCP/RCA/REIM with complete and valid docs will be released at immediately succeeding Tuesday *PMRs &/or AMs handling cheque payments to suppliers and/or MDs/Hospitals should secure corresponding ORs/ARs and submit to Finance
Breakdown of expenses/ Agenda/ Minutes of Meeting Official Receipt Acknowledgement Receipt; name and signature of recipient should be clear Required for processing Required to be returned to Finance after payment
OR THE MONTH OF : :
RODUCT GROUP
STRICT MANAGER :
NANCE PARTNER :
Nature of Issue
Required Action
When Needed
Remarks
Accomplished by:
Conforme:
DM/PMR
Finance Partner
FRESENIUS KABI PHILIPPINES, INC. SUPPORT TO FTAR FUND REQUEST FOR : January
CASH ADVANCE
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs MD Class FK Participant Product Group Amount Name of Activity Activity Date Sponsored Organization
LIQUIDATION
Name of Participating MDs MD Class FK Participant Product Group Amount
FOR RETURN/(REIMBURSEMENT)
Feedback Comments
Amount
Dr.Dionisio Cabawatan (Diab A1); Dr. Stefanie LimUy (Endo B1); Dr.Lemuel DELOS SANTOS; Tocjayao (Diab A1); A(4X) B(2x) Bernard E.Dela Virgen Jr PKDF;NEPHROC Dr.Brandon Navidad ARE (Nephro A1); Dr.Mildred Tayag (Nephro A1); Dr.Marie Jewell Santos(Nephro A1)
Renal
3,000.00
DELOS SANTOS
A(4X)
Renal
1,050.00
3,000.00
1,050.00
FOR TRAVEL REQUEST, LETTER OF AUTHORITY (LOA) & FOR CHECK PAYMENT
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs FK Participant Product Group Amount
TOTAL - TR/LOA/RCP
0.00
3,000.00
PREPARED BY:
APPROVED BY:
PMR
DM
FRESENIUS KABI PHILIPPINES, INC. SUPPORT TO FTAR FUND REQUEST FOR : January
CASH ADVANCE
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs MD Class FK Participant Product Group Amount Name of Activity Activity Date Sponsored Organization
LIQUIDATION
Name of Participating MDs MD Class FK Participant Product Group Amount
FOR RETURN/(REIMBURSEMENT)
Feedback Comments
Amount
Dr.Dionisio Cabawatan (Diab A1); Dr. Stefanie LimUy (Endo B1); Dr.Lemuel DELOS SANTOS; Tocjayao (Diab A1); A(4X) B(2x) Bernard E.Dela Virgen Jr PKDF;NEPHROC Dr.Brandon Navidad ARE (Nephro A1); Dr.Mildred Tayag (Nephro A1); Dr.Marie Jewell Santos(Nephro A1)
Renal
3,000.00
Dr.Mildred Tayag DELOS SANTOS; (Nephro A1); Dr.Marie PKDF Jewell Santos(Nephro A1)
A(4X)
Renal
890.00
3,000.00
890.00
FOR TRAVEL REQUEST, LETTER OF AUTHORITY (LOA) & FOR CHECK PAYMENT
Name of PMR Name of Activity Activity Date Sponsored Organization Name of Participating MDs FK Participant Product Group Amount
TOTAL - TR/LOA/RCP
0.00
3,000.00
PREPARED BY:
APPROVED BY:
PMR
DM